Astrin, Jason David

Astrin, Jason David is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Astrin, Jason David can be contacted via phone (817) 735-2660.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-2660
Fax: (817) 735-5441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0001659 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0001659 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05828 Texas

Profile Details

NPI number 1669417093
LBN Legal business name Astrin, Jason David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Oct 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669417093 NPPES
Texas MEDICAID 202739303
Texas Other 828N82

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